David E Thome Dds Pllc L1 | |
9055 Cresswind Blvd Ste 104 Charlotte NC 28215-2272 | |
(704) 350-2152 | |
Not Available |
Full Name | David E Thome Dds Pllc L1 |
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Speciality | Dentist - Pediatric Dentistry |
Location | 9055 Cresswind Blvd Ste 104, Charlotte, North Carolina |
Authorized Official Name and Position | Lucenda Harris (CREDENTIALING AND CONTRACTING COORD) |
Authorized Official Contact | 7043619508 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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David E Thome Dds Pllc L1 8604 Cliff Cameron Dr Ste 170 Charlotte NC 28269-8508 Ph: (704) 361-9508 | David E Thome Dds Pllc L1 9055 Cresswind Blvd Ste 104 Charlotte NC 28215-2272 Ph: (704) 350-2152 |
NPI Number | 1033817770 |
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Provider Enumeration Date | 02/22/2023 |
Last Update Date | 02/22/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033817770 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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